2024-10-30T18:57:15-05:00 2023-12-31 410746749 CLIFTONLARSONALLEN LLP 220 S 6TH STREET SUITE 300 MINNEAPOLIS MN 55402 990 2023-01-01 050542561 SLEEPY EYE HEALTHCARE FOUNDATION SLEE 5077943571 400 4TH AVENUE NW SLEEPY EYE MN 56085 TODD CONSBRUCK HOSPITAL CEO 5077943571 2024-10-28 1 0 RYAN STRUSZ P01604381 6123764500 2024-10-28 2023 2024-10-15 13:58:12Z TODD CONSBRUCK 400 4TH AVENUE NW SLEEPY EYE MN 56085 32676 0 X WWW.SEMEDICALCENTER.ORG X 2002 MN TO BE A SUPPORTING ORGANIZATION FOR BOTH THE SLEEPY EYE MEDICAL CENTER AND THE CITY OF SLEEPY EYE, MINNESOTA. 7 6 0 7 0 0 231692 32676 0 0 621 0 -9273 -3303 223040 29373 25000 147224 0 0 0 0 0 0 0 1557 6162 26557 153386 196483 -124013 461847 342124 0 0 461847 342124 THE PURPOSE OF SLEEPY EYE FOUNDATION IS TO BE A SUPPORTING ORGANIZATION FOR BOTH SLEEPY EYE MEDICAL CENTER AND THE CITY OF SLEEPY EYE, MINNESOTA. 0 0 130081 129843 0 RAISE FUNDS THROUGH DONATIONS AND FUNDRASING PROGRAMS TO SUPPORT THE SLEEPY EYE MEDICAL CENTER CONDUCT CARE FOR NEEDING PATIENTS IN THE SURROUNDING AREA. 17381 17381 0 SCHOLARSHIPS ARE PROVIDED FOR LOCAL HIGH/SCHOOLERS WHO ARE PLANNING ON ATTENDING COLLEGE OR TECHNICAL SCHOOL IN THE UPCOMING FALL. 147462 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 X 7 6 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 MN X MIKAYLA BRUGGEMAN 5077943591 400 4TH AVENUE NW SLEEPY EYE MN 56085 GORDIE OSMONSON VICE PRESIDENT 0.10 0.00 X X 0 0 0 KEVIN SELLHEIM TREASURER (HOSPITAL CEO) 0.10 40.00 X X 0 218305 29086 BRYAN BERKNER DIRECTOR 0.10 0.00 X 0 0 0 DEAN BRINKMAN DIRECTOR 0.10 0.00 X 0 0 0 TOM LARSON DIRECTOR 0.10 0.00 X 0 0 0 AMANDA MURPHY DIRECTOR 0.10 0.00 X 0 0 0 ARLA DOCKTER DIRECTOR 0.10 0.00 X 0 0 0 0 218305 29086 0 0 1 0 0 10838 21838 32676 0 10838 3303 -3303 -3303 29373 0 0 -3303 147224 147224 238 238 MISCELLANEOUS EXPENSE 5924 5924 153386 147462 5924 0 440527 320751 21320 21373 461847 342124 0 0 X 461847 342124 461847 342124 461847 342124 -124013 4290 0 X 0 1 X 1 0 X X 2 SLEEPY EYE MEDICAL CENTER 416005545 3 1 147224 0 CITY OF SLEEPY EYE 416005545 6 1 0 0 2 147224 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 SECTION A, LINE 2 SLEEPY EYE HEALTHCARE FOUNDATION SUPPORTS SLEEPY EYE MEDICAL CENTER, WHICH IS A HOSPITAL, AND THE CITY OF SLEEPY EYE, WHICH IS A GOVERNMENTAL ENTITY. THE HOSPITAL OPERATES BASED ON CONTRIBUTIONS AND SERVICE FEES SO IT WOULD QUALIFY AS A PUBLIC CHARITY UNDER 509(A)(2) AND THE CITY OPERATES ON TAXES AND FEES SO IT WOULD ALSO QUALIFY AS A PUBLIC CHARITY UNDER 509(A)(2). SECTION B, LINE 2 FROM ITS ARTICLES OF INCORPORATION, THE PURPOSE OF SLEEPY EYE HEALTHCARE FOUNDATION IS TO BE A SUPPORTING ORGANIZATION FOR BOTH SLEEPY EYE MEDICAL CENTER AND THE CITY OF SLEEPY EYE, MINNESOTA. SLEEPY EYE MEDICAL CENTER HAS CONTROL OVER THE FOUNDATION THROUGH THE ABILITY TO APPOINT MEMBERS OF THE FOUNDATION'S BOARD OF DIRECTORS. HOWEVER, SLEEPY EYE MEDICAL CENTER IS A COMPONENT OF THE CITY OF SLEEPY EYE. THROUGH THESE RELATIONSHIPS, THE CITY HAS OVERSIGHT AUTHORITY OVER BOTH THE HOSPITAL AND THE FOUNDATION. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 SLEEPY EYE MEDICAL CENTER 400 4TH AVENUE NE SLEEPY EYE MN 56085 416005545 CITY OF SLEEPY EYE 147224 0 TO PURCHASE EQUIPMENT FOR THE BENEFIT OF SLEEPY EYE MEDICAL CENTER 1 0 0 0 0 0 0 0 0 0 0 KEVIN SELLHEIM TREASURER (HOSPITAL CEO) 0 218305 0 0 0 0 0 14283 0 14803 0 247391 0 0 PART I, LINE 3 THE CEO OF THE SLEEPY EYE MEDICAL CENTER FOUNDATION, INC. IS COMPENSATED BY SLEEPY EYE MEDICAL CENTER, A RELATED PARTY. WHEN DETERMINING THE CEO'S COMPENSATION, SLEEPY EYE MEDICAL CENTER USES THE FOLLOWING METHODS: 1. COMPENSATION SURVEY OR STUDY, AND 2. APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE FORM 990, PART VI, SECTION A, LINE 8B THERE IS NOT ANOTHER COMMITTEE WITH THE AUTHORITY TO ACT ON BEHALF OF THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS PRESENTED TO THE BOARD FOR REVIEW AFTER IT HAS BEEN FILED WITH THE IRS. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION DOES NOT MAKE ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, OR FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC. CITY OF SLEEPY EYE DBA SLEEPY EYE MEDICAL CENTER 400 4TH AVE NW SLEEPY EYE MN 56085 416005545 CRITICAL ACCESS HOSPITAL AND RURAL CLINIC MN 501(C)(3) CITY OF SLEEPY EYE 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0